Objectives (1) To determine the prevalence of spine and upper limb osteoarthritis (OA) and pain in retired Olympians; (2) identify risk factors associated with their occurrence and (3) compare with a sample of the general population. Methods 3357 retired Olympians (44.7 years) and 1735 general population controls (40.5 years) completed a cross-sectional survey. The survey captured demographics, general health, self-reported physician-diagnosed OA, current joint/region pain and significant injury (lasting ≥1 month). Adjusted ORs (aORs) compared retired Olympians and the general population. Results Overall, 40% of retired Olympians reported experiencing current joint pain. The prevalence of lumbar spine pain was 19.3% and shoulder pain 7.4%, with lumbar spine and shoulder OA 5.7% and 2.4%, respectively. Injury was associated with increased odds (aOR, 95% CI) of OA and pain at the lumbar spine (OA=5.59, 4.01 to 7.78; pain=4.90, 3.97 to 6.05), cervical spine (OA=17.83, 1.02 to 31.14; pain=9.41, 6.32 to 14.01) and shoulder (OA=4.91, 3.03 to 7.96; pain=6.04, 4.55 to 8.03) in retired Olympians. While the odds of OA did not differ between Olympians and the general population, the odds of lumbar spine pain (1.44, 1.20 to 1.73), the odds of shoulder OA after prior shoulder injury (2.64, 1.01 to 6.90) and the odds of cervical spine OA in female Olympians (2.02, 1.06 to 3.87) were all higher for Olympians compared with controls. Conclusions One in five retired Olympians reported experiencing current lumbar spine pain. Injury was associated with lumbar spine, cervical spine and shoulder OA and pain for Olympians. Although overall OA odds did not differ, after adjustment for recognised risk factors, Olympians were more likely to have lumbar spine pain and shoulder OA after shoulder injury, than the general population. All data relevant to the study are included in the article or uploaded as online supplemental information.

中文翻译：

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与普通人群相比，退役奥运会运动员骨关节炎和疼痛的患病率及相关因素：第 2 部分 – 脊柱和上肢


目标 (1) 确定退役奥运选手脊柱和上肢骨关节炎 (OA) 和疼痛的患病率； (2) 识别与其发生相关的风险因素；(3) 与一般人群样本进行比较。方法 3357 名退休奥运选手（44.7 岁）和 1735 名普通人群对照者（40.5 岁）完成了横断面调查。该调查涵盖了人口统计数据、一般健康状况、自我报告的医生诊断的 OA、当前关节/区域疼痛和严重损伤（持续≥1 个月）。调整后的 OR (aOR) 比较了退役奥运会选手和普通人群。结果 总体而言，40% 的退役奥运选手表示目前正经历关节疼痛。腰椎疼痛的患病率为19.3%，肩痛的患病率为7.4%，腰椎和肩部OA的患病率分别为5.7%和2.4%。损伤与 OA 发生率增加（aOR，95% CI）和腰椎疼痛（OA=5.59、4.01 至 7.78；疼痛=4.90、3.97 至 6.05）、颈椎疼痛（OA=17.83、1.02 至 31.14；疼痛=4.90、3.97 至 6.05）相关。退役奥运选手的疼痛=9.41、6.32至14.01）和肩部（OA=4.91、3.03至7.96；疼痛=6.04、4.55至8.03）。虽然奥运选手和普通人群之间发生 OA 的几率没有差异，但腰椎疼痛的几率（1.44、1.20 至 1.73）、既往肩部损伤后发生肩部 OA 的几率（2.64、1.01 至 6.90）以及颈椎疼痛的几率不同。与对照组相比，女性奥运选手的脊柱骨关节炎（2.02、1.06 至 3.87）均较高。结论 五分之一的退休奥运选手表示目前正经历腰椎疼痛。奥运选手的损伤与腰椎、颈椎和肩部骨关节炎以及疼痛有关。 尽管总体骨关节炎发生率没有差异，但在调整公认的危险因素后，与普通人群相比，奥运选手在肩部受伤后更有可能出现腰椎疼痛和肩部骨关节炎。与研究相关的所有数据都包含在文章中或作为在线补充信息上传。